HCDSB CURRICULAR FIELD TRIP

CATEGORY: Please mark with an “X” beside the field trip level

Principal Approval Required: Level 1 __ Level 2 __ Level 3 __ Superintendent Approval Required: Level 4 __ Level 5 __

LOCAL TRIPS - CP provides for local trips only - Definition: Trips taken within the Okanagan and not requiring a bus to be away overnight.

DETAILS OF THE TRIP:

School: Notre Dame C.S.S. School Phone: 905-335-1544
Group of Students: SCH 4U students Teacher Contact: Rachael Plume
Destination: University of Waterloo
Purpose of Trip: authentic academic discovery and science career exploration
Description of Activities: Shadowing current Engineering students and presentation from polymer reaction engineering research group
Inherent Risks of Participating: N/A
Note: for all restricted activities, a detailed outline of the activity, including all inherent risks, must be signed by the parent.

No. of Students: 20 Departure Date: March 23, 2018 Return Date: March 23, 2018
No. of Teacher/Supervisors: 1 Departure Time: 7:00 am Return Pickup Time: 3:30pm

PRECAUTION CHECKLIST: Please indicate whether the following requirements have been met:
 Teacher/Chaperones with first-aid training  Notification of other staff  Medication
 Parent Permission forms  List of Student Names  Medical Alert Plan
 Itinerary  List of Students with Medical Alert  Emergency Contact Information

TRANSPORTATION: Career Programs Field Trips must utilize SD 23 buses only. Please have school secretary enter the bussing info.
Bus to stay with the Group: Y / N Wheelchair Access: Y / N Transport Equipment: Y / N
TO BE COMPLETED BY TRANSPORTATION
Driver: _______________________________________________ Bus # ____________________ Total Hours: _____________________________
Cost: _____________ Total Km: ______________ Cost: ____________ Meal: _____________ Total Cost: ______________________________

SCHOOL LEVEL SIGN-OFF: LEVELS 1, 2 and 3 FIELD TRIPS

This field trip is endorsed and filed with the understanding that details will be addressed as provided in the regulations. The booking of TOC’s,
compliance with Policy 525: Field Trips and School District bussing are the Principal’s responsibility.

Teacher: ____________________________________________________ Date: _______________________________________________________

Principal: ___________________________________________________ Date: _______________________________________________________
Career Programs Contact: ______________________________________ Date: _______________________________________________________

DISTRICT SIGN-OFF: LEVELS 4 and 5 FIELD TRIPS - PLEASE REFER TO THE GUIDELINES FOR DISTRICT FIELD TRIPS:
The following signature indicates an approved application .

Superintendent’s or Designate’s Signature: _______________________________________________________ Date: _______________________

Form 525.1 CP
September 10, 2008
PLEASE COMPLETE THE REVERSE SIDE APPROVED: ___________ POSTED: _____________
TRIP #: ________________ SCAN/FAXED: __________

Form 525.1 CP
September 10, 2008
CAREER/LIFE PROGRAMS FIELD TRIP REQUEST
TEACHER: Rachael Plume SCHOOL: Notre Dame C.S.S.
GRADE: 12 SUBJECT: SCH 4U

The Career Exploration Program for School District #23 is pleased to offer additional funding for Curricular Field Trips that provides
students with an opportunity to experience an ‘applied’ approach and practical applications of the curriculum they are currently studying.
We would like to encourage applicants to develop new, innovative field trips for all students, wherever possible. In order to satisfy funding
requirements, specific criteria must be complied with. Please provide the following information:

1. How does your field trip relate to curriculum currently being taught?
This field trip relates to the curriculum as it provides authentic real-life applications for organic chemistry, specifically of polymer
engineering. It allows students to see how chemistry and organic molecules are used to increase our quality of life.

2. Briefly describe the educational preparation that has taken place in relation to this field trip.
Three weeks of organic chemistry lessons. A semester-long discussion of potential careers which utilize chemistry.

3. Briefly describe the planned follow-up activity that relates to the field trip experience.
The students will shadow current chemical engineers. They will have a presentation from a polymer engineering research group.

4. Have you given two weeks’ notice? Yes Teacher Signature:_______________________________________________________

Note: No applications will be accepted after May 30 th of the current school year.

Form 525.1 CP
September 10, 2008